ACA Deep Dive

Chart a Course of Compliance in a Sea of Change

Thursday, September 27 | 2:00 PM ET

Legal Disclaimer

This presentation is designed to provide general information and guidance related to

the Affordable Care Act, but is not all encompassing and has not been customized for

any client's particular situation. PlanSource does not provide legal or tax advice. To

ensure compliance with the requirements imposed by the Affordable Care Act, we

encourage you to consult your legal and/or tax counsel for advice specific to your

particular situation. This information is provided on an "as is" basis without any warranty

of any kind. PlanSource disclaims any liability for any loss or damage from reliance on

this document. Further, this information does not create an attorney-client relationship.

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Will the webinar be recorded?

Yes!(We will send you a link to the recording

after the webinar).

4

Will the slides be available?

Yes!(We will send you a link to the PDF

after the webinar).

5

How do you ask questions?

Type your question into

the “Questions” panel

Today’s Speaker

Danielle Nugent

Senior Benefits and ACA Consultant

PlanSource

PPACA: Where it’s been

A brief look back

History of PPACAEnacted in 2010

Source: https://obamacarefacts.com/obamacare-facts/

Provide more American’s access

to affordable, quality health

insurance

and reduce the growth in U.S.

health care spending

Expand affordability, quality and

availability of public health

insurance through consumer

protections, regulations, subsidies,

taxes and insurance exchanges

Goal How

New Benefits, Rights, and Protections

Source: https://obamacarefacts.com/obamacare-facts/

Coverage denials

Tax Breaks

Employer Mandate

Right to appeal decisions

Individual mandate

Insurance company

limitations and protections

Access to CHIP

Coverage to age 26

Annual Limits

Life-time limits

Limitations on Rate

Increases

Small employer credits

Medicaid Expansion

Subsidies

Pre-existing conditions

Where the ACA Meets the IRS

10Source: http://www.nisbenefits.com/pdfs-6055-6056/Code%20Section%206055%20-%20What%20Information%20Must%20be%20Reported.pdf

Section: 6055

Health Insurance Providers as well as

sponsors of self-insured health plans must

file information with the Internal

Revenue Service (IRS) about

covered individuals.

Minimum Essential Coverage Providers

Section: 6056

Applicable Large Employers (ALEs) need to

file information returns with the IRS and

provide statements to their measured FTEs

about the health insurance coverage

offered.

Applicable Large Employers

What Are The Reporting Requirements?

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Due dates below are for the 2018 reporting year

Due to Employees

January 31, 2019

Electronically due to IRS

April 2, 2019

Section6055

Form 1095-B

Form 1094-B

Self-Insured

ALE Employers

Health Insurance Providers

Non ALE Self-Insured

Employers

Self-Insured and

Fully Insured ALE Employers

Recent Developments in the ACA

Repeal of the Individual Mandate

Repeal of Individual Mandate

The ACA required every American who does not buy health

insurance to pay a penalty

The 2017 tax bill eliminated the individual mandate penalty

starting in the 2019 tax year

Form 1095 is still required for 2018 tax year

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What happened?

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Repeal of Individual MandateWhat does it mean?

CBO predicts a drop in the number of people buying

insurance, causing premiums to rise

Fewer reporting requirements? Wait and see.

Complicated Stuff

How Can Technology Help?

How Can Technology Help?

1

Measure Employees

2 3 4 5 6

How Can Technology Help?

1

Measure Employees

2

Manage Stability Changes

3 4 5 6

How Can Technology Help?

1

Measure Employees

2

Manage Stability Changes

3

Capture Offers

4 5 6

Technology Needs

1

Measure Employees

2

Manage Stability Changes

3

Capture Offers

4

Determine Form Coding

5 6

How Can Technology Help?

1

Measure Employees

2

Manage Stability Changes

3

Capture Offers

4

Determine Form Coding

5

Print and Mail

Employee Forms

6

Due to Employees

January 31, 2019

How Can Technology Help?

1

Measure Employees

2

Manage Stability Changes

3

Capture Offers

4

Determine Form Coding

5

Print and Mail

Employee Forms

6

IRS Trans-mission and Corrections

Initial Transmission Due

on April 2, 2019

PlanSource ACA Demo

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Q&AWhat would you like to know?

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Continue the Conversation

877-735-0468

plansource.com/contact-us

@PlanSource

ACA Deep Dive

Chart a Course of Compliance in a Sea of Change

Thursday, September 27 | 2:00 PM ET